Dr Beau James Ellenbecker, DO - Medicare Family Practice in Roanoke, TX

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Dr Beau James Ellenbecker, DO is a medicare enrolled "Family Medicine" physician in Roanoke, Texas. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Healthtexas Provider Network and his current practice location is 610 E Byron Nelson Blvd, Suite 101, Roanoke, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 912-8200.

Dr Beau James Ellenbecker is licensed to practice in Texas (license number P1069) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679774582.

Contact Information

Dr Beau James Ellenbecker, DO
610 E Byron Nelson Blvd, Suite 101,
Roanoke, TX 76262-6541
(817) 912-8200
(817) 912-8210

Map and Direction




Physician's Profile

Full NameDr Beau James Ellenbecker
GenderMale
SpecialityFamily Practice
Experience18 Years
Location610 E Byron Nelson Blvd, Roanoke, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Beau James Ellenbecker graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1679774582
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 03/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315197100
  • Enrollment ID: I20121102000105

Medical Identifiers

Medical identifiers for Dr Beau James Ellenbecker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679774582NPI-NPPES
307543401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine P1069 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center GrapevineGrapevine, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthtexas Provider Network13552542101810

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Beau James Ellenbecker allows following entities to bill medicare on his behalf.
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Beau James Ellenbecker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Beau James Ellenbecker, DO
610 E Byron Nelson Blvd, Suite 101,
Roanoke, TX 76262-6541

Ph: (817) 912-8200		Dr Beau James Ellenbecker, DO
610 E Byron Nelson Blvd, Suite 101,
Roanoke, TX 76262-6541

Ph: (817) 912-8200

Reviews and Comments


Family Medicine Doctors in Roanoke, TX

Anna Wallace, APRN
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 208 N Highway 377, Roanoke, TX 76262
Phone: 682-237-7600    
Klemens Elden Gustafson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 989 Elkin Ln, Roanoke, TX 76262
Phone: 817-379-4488    
Dr. Jeffrey Brad Griffin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 509 E Byron Nelson Blvd, Suite B, Roanoke, TX 76262
Phone: 817-491-2564    Fax: 817-491-3420

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.